Block 6 Anatomy Inguanal Region Umich W Expl

19 Questions | Total Attempts: 139

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Anatomy Quizzes & Trivia

Questions and Answers
  • 1. 
    During a laparoscopic examination of the deep surface of the lower anterior abdominal wall (using a lighted scope on a thin tube inserted through the wall), the attending physician noted something of interest and asked the young resident to look at the medial inguinal fossa. To do so, the young doctor would have to look at the area between the:
    • A. 

      Inferior epigastric artery and urachus

    • B. 

      Medial umbilical ligament and urachus

    • C. 

      Inferior epigastric artery and lateral umbilical fold

    • D. 

      Medial umbilical ligament and inferior epigastric artery

    • E. 

      Median umbilical ligament and medial umbilical ligament

  • 2. 
    If one were to make an incision parallel to and 2 inches above the inguinal ligament, one would find the inferior epigastric vessels between which layers of the abdominal wall?
    • A. 

      Camper's and Scarpa's fascias

    • B. 

      External abdominal oblique and internal abdominal oblique muscles

    • C. 

      Internal abdominal oblique and transversus abdominis muscles

    • D. 

      Skin and deep fascia of the abdominal wall

    • E. 

      Tranversus abdominis muscle and peritoneum

  • 3. 
    A man is moving into a new house and during the process lifts a large chest of drawers. As he lifts he feels a severe pain in the lower right quadrant of his abdomen. He finds that he can no longer lift without pain and the next day goes to see his physician. Surgery is indicated and during the surgery the surgeon opens the inguinal region and finds a hernial sac with a small knuckle of intestine projecting through the abdominal wall just above the inguinal ligament and lateral to the inferior epigastric vessels. The hernia was diagnosed as:
    • A. 

      A congenital inguinal hernia

    • B. 

      A direct inguinal hernia

    • C. 

      A femoral hernia

    • D. 

      An incisional hernia

    • E. 

      An indirect inguinal hernia

  • 4. 
    Which structure passes through the deep inguinal ring?
    • A. 

      Iliohypogastric nerve

    • B. 

      Ilioinguinal nerve

    • C. 

      Inferior epigastric artery

    • D. 

      Medial umbilical ligament

    • E. 

      Round ligament of the uterus

  • 5. 
    A loop of bowel protrudes through the abdominal wall to form a direct inguinal hernia; viewed from the abdominal side, the hernial sac would be found in which region?
    • A. 

      Deep inguinal ring

    • B. 

      Lateral inguinal fossa

    • C. 

      Medial inguinal fossa

    • D. 

      Superficial inguinal ring

    • E. 

      Supravesical fossa

  • 6. 
    A patient presents with a hernia that is palpable at the superficial inguinal ring. Is this an indirect inguinal hernia?
    • A. 

      Yes

    • B. 

      No

    • C. 

      There is insufficient evidence to tell

  • 7. 
    In a female with an indirect inguinal hernia, the herniated mass lies along side of which structure as it traverses the inguinal canal?
    • A. 

      Iliohypogastric nerve

    • B. 

      Inferior epigastric artery

    • C. 

      Ovarian artery and vein

    • D. 

      Pectineal ligament

    • E. 

      Round ligament of the uterus

  • 8. 
    While performing a routine digital examination of the inguinal region in a healthy teen-aged male, the physician felt a walnut-sized lump protruding from the superficial inguinal ring. She correctly concluded that it was :
    • A. 

      Definitely an indirect inguinal hernia

    • B. 

      Possibly an unusual femoral hernia

    • C. 

      Definitely a direct inguinal hernia

    • D. 

      Possibly an enlarged superficial inguinal lymph node

    • E. 

      Either a direct or an indirect inguinal hernia

  • 9. 
    During your peer presentation of the inguinal region dissection, you would indicate the position of the deep inguinal ring to be:
    • A. 

      Above the anterior superior iliac spine

    • B. 

      Above the midpoint of the inguinal ligament

    • C. 

      Above the pubic tubercle

    • D. 

      In the supravesical fossa

    • E. 

      Medial to the inferior epigastric artery

  • 10. 
    An elderly patient with a large indirect inguinal hernia came to your clinic complaining of pain in the scrotum. You conclude that the hernial sac is compressing the following nerve:
    • A. 

      Femoral branch of the genitofemoral

    • B. 

      Femoral

    • C. 

      Iliohypogastric

    • D. 

      Ilioinguinal

    • E. 

      Subcostal

  • 11. 
    A 45-year-old porter develops a direct inguinal hernia. If the hernia extended through the superficial inguinal ring, it would be surrounded by all of the abdominal wall layers EXCEPT the:
    • A. 

      External spermatic fascia

    • B. 

      Internal spermatic fascia

    • C. 

      Peritoneum and extraperitoneal connective tissue

    • D. 

      Weak fascia of the transversus abdominis muscle lateral to the falx

  • 12. 
    A pediatrician has diagnosed a newborn baby of having right-sided cryptorchidism (undescended testis). The testis may have been trapped in any site EXCEPT:
    • A. 

      At the deep inguinal ring

    • B. 

      Just outside the superficial inguinal ring

    • C. 

      Pelvic brim

    • D. 

      Perineum

    • E. 

      Somewhere in the inguinal canal

  • 13. 
    A 15-year-old boy was admitted to the emergency room for having large bowel obstruction resulting from a left-sided indirect inguinal hernia. The most likely intestinal segment involved in this obstruction is the:
    • A. 

      Ascending colon

    • B. 

      Cecum

    • C. 

      Descending colon

    • D. 

      Rectum

    • E. 

      Sigmoid colon

  • 14. 
    A 45-year-old man had developed a direct inguinal hernia several months after having an emergency appendectomy. The examining doctor linked the cause of hernia to accidental nerve injury that happened during appendectomy and weakened the falx inguinalis. Which nerve had been injured?
    • A. 

      Femoral branch of the genitofemoral

    • B. 

      Genital branch of the genitofemoral

    • C. 

      Ilioinguinal

    • D. 

      Subcostal

    • E. 

      Ventral primary ramus of T10

  • 15. 
    The boundaries of the inguinal triangle include all except:
    • A. 

      Arcuate line

    • B. 

      Inferior epigastric vessels

    • C. 

      Inguinal ligament

    • D. 

      Lateral border of rectus abdominus muscle

  • 16. 
    The superficial inguinal ring is an opening in which structure?
    • A. 

      External abdominal oblique aponeurosis

    • B. 

      Falx inguinalis

    • C. 

      Internal abdominal oblique muscle

    • D. 

      Scarpa's fascia

    • E. 

      Transversalis fascia

  • 17. 
    If a hernia enters into the scrotum, it is most likely a(n):
    • A. 

      Direct inguinal hernia

    • B. 

      Indirect inguinal hernia

    • C. 

      Femoral hernia

    • D. 

      Obturator hernia

  • 18. 
    Which nerve passes through the superficial inguinal ring and may therefore be endangered during inguinal hernia repair?
    • A. 

      Femoral branch of the genitofemoral

    • B. 

      Ilioinguinal

    • C. 

      Iliohypogastric

    • D. 

      Obturator

    • E. 

      Subcostal

  • 19. 
    During exploratory surgery of the abdomen, an incidental finding was a herniation of bowel between the lateral edge of the rectus abdominis muscle, the inguinal ligament and the inferior epigastric vessels. These boundaries defined the hernia as a(n):
    • A. 

      Congenital inguinal hernia

    • B. 

      Direct inguinal hernia

    • C. 

      Femoral hernia

    • D. 

      Indirect inguinal hernia

    • E. 

      Umbilical hernia

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